Address : ___________________
___________________________
___________________________
Date :______________________
The Assistant Vice President
MCS Limited
Shri Venkatesh Bhawan
W-40, Okhla Industrial Area, Phase-II,
New Delhi – 110 020
Dear Sir,
I hereby give following information for necessary action at your end.
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A. My particulars - D-MAT FORM |
PHYSICAL FORM |
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Client ID No. : |
Folio No. : |
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DP ID No. : |
No. of shares : |
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No. of shares : |
Certificate Nos : to |
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Distinctive Nos, : to |
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B. Subject (Please tick (-/) whichever is applicable) |
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( ) Fate of application |
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( ) Non receipt of Dividend/Refund Pay Order/Share certificates |
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( ) Name / Account No. etc for correction |
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( ) Change of address – New/present address is : (Applicable in case of physical shares) |
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( ) Revalidation of Refund Pay Order/Dividend Warrant |
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( ) Issuance of Duplicate/New certificate in lieu of lost/damaged share certificate |
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( ) Transfer/Transmission of shares |
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( ) Others (Kindly specify) |
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Relevant details of above :
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C. Any other comments : |
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Thanking you,
Yours faithfully,
(SIGNATURE)
(Name of shareholder/complainant)
Encl: _____________